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BEGIN APPLICATION

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Retrieve Application

Step 1 of 11:

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PERSONAL INFORMATION

First Name: *

Last Name: *

Email: *

Confirm Email: *

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PERSONAL INFORMATION

Primary Phone Number: *

Work Phone Number:

Cell Phone Number:

Fax Phone Number:

Street Address 1: *

Street Address 2:

City:

State:

Zip: *

Spouse Full Name:

Spouse Email:

Spouse Cell:

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BUSINESS INFORMATION

Business Name:

Street Address 1:

Street Address 2:

City:

State:

Zip:

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PERSONAL INFORMATION

Why are you seeking or expanding a business of your own?

Why are you interested in one of our franchises?

Describe your present business and your role in it.

What contract groups, associations, or franchises are you affiliated with?

What are the three greatest challenges facing your business?:

1: *

2: *

3: *

If you were to start over, what would you do differently?

what do you think makes the difference between success and failure?

What was your greatest business or personal?:

Accomplishment: *

Disappointment: *

When making a business decision, who:

Encourages you the most: *

Cautions you the most: *

Please organize the following aspects of your life in the order of most importance to you:

(Drag the items in your preferred order or use the arrows.)

Are you interested in a franchise for a single or multiple location(s)?*:required:*

Single

Multiple

If multiple how many?:

What is your time frame for expansion?

What is your succession plan (for passing your business to your heirs, for selling it, etc.)?

Comments

Please keep me updated by email

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ADDITIONAL INFORMATION

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ASSETS

Cash on hand in bank:

Primary residence:

Commercial real estate:

Other real state:

Business Value:

Automobiles:

Personal Property:

Marketable Securities:

Notes receivable:

Retirement Fund:

Profit Sharing:

401(k):

IRA:

OTHER ASSETS:

Use this space to enter any additional itemized assets:

ADDITIONAL ASSET 1:

Asset Name:

value:

ADDITIONAL ASSET 2:

Asset Name:

Value:

ADDITIONAL ASSET 3:

Asset Name:

Value:

Yearly Income:

Spouse Income:

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LIABILITIES

Please use current balances:

Mortgage:

Second Mortgage:

Lines of credit:

Business loans:

Credit cards:

Vehicle loans:

School loans:

REAL ESTATE SECURED LOANS BALANCES:

(Itemize, do not include 1st or 2nd mortgages):

LOAN BALANCE 1:

Asset Name:

Value:

LOAN BALANCE 2:

Asset Name:

Value:

OTHER OBLIGATIONS:

Use this space to enter any additional itemized obligations:

OBLIGATIONS 1:

Asset Name:

Value:

OBLIGATIONS 2:

Asset Name:

Value:

OBLIGATIONS 3:

Asset Name:

Value:

OBLIGATIONS 4:

Asset Name:

Value:

OBLIGATIONS 5:

Asset Name:

Value:

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EMPLOYMENT HISTORY

Provide information for two references:

1 of 2:

Employer Name: *

Address 1: *

Address 2: *

City: *

State:

Zip: *

Start Date: *

End Date: *

Salary: *

Position: *

Reason for leaving: *

2 of 2:

Employer Name:

Address 1:

Address 2:

City:

State:

Zip:

Start date:

End date:

Salary:

Position:

Reason for Leaving:

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EDUCATION HISTORY

Highest Education Level: *

College / University:

Major:

Years Attended:

Degree:

Professional Training and/or Certification:

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EMPLOYMENT HISTORY

Provide information for three references:

1 OF 3:

Reference Name:

Reference Phone:

Best time to contact:

2 OF 3:

Reference Name:

Reference Phone:

Best time to contact:

3 OF 3:

Reference Name:

Reference Phone:

Best time to contact:

Step 11 of 11:

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AVAILABILITY

What was your greatest business or personal?:

When would you be available to start your franchise?: *

What are your preferred locations? (be specific):

How did you hear about us?::

Other information you believe would assist us in evaluating your qualifications